International Journal of Circumpolar Health最新文献_第2页

Fruit and vegetable intake, physical activity, and functional fitness among older adults in urban Alaska. 阿拉斯加城市老年人的水果和蔬菜摄入量、体育活动和功能性健身。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-05-29 DOI: 10.1080/22423982.2024.2359164

Allexis Mahanna, Britteny M Howell, Amber K Worthington, Leslie C Redmond, Vanessa Y Hiratsuka

{"title":"Fruit and vegetable intake, physical activity, and functional fitness among older adults in urban Alaska.","authors":"Allexis Mahanna, Britteny M Howell, Amber K Worthington, Leslie C Redmond, Vanessa Y Hiratsuka","doi":"10.1080/22423982.2024.2359164","DOIUrl":"10.1080/22423982.2024.2359164","url":null,"abstract":"Older adults often face barriers to obtaining recommended diet, physical activity, and fitness levels. Understanding these patterns can inform effective interventions targeting health beliefs and behavior. This cross-sectional study included a multicultural sample of 58 older adults (aged 55+ years, M=71.98) living in independent senior housing in urban Southcentral Alaska. Participants completed a questionnaire and the Senior Fitness Test that assessed self-reported fruit and vegetable intake, physical activity, self-efficacy, and functional fitness. T-tests and bivariate correlation analyses were used to test six hypotheses. Results indicated that participants had low physical activity but had a mean fruit and vegetable intake that was statistically significantly higher than the hypothesized \"low\" score. Only 4.26% of participants met functional fitness standards for balance/agility, and 8.51% met standards for lower-body strength. However, 51.1% met standards for upper-body strength and 46.8% met standards for endurance The results also indicated that nutrition self-efficacy and exercise self-efficacy were positively related to fruit and vegetable intake and physical activity levels, respectively. Interestingly, income was not related to nutrition or activity patterns. These data complicate the picture on dietary and physical activity patterns for older adults in Alaska and offer recommendations for future health promotion activities.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2359164"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11138220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A qualitative exploration of the impacts of COVID-19 in two rural Southwestern Alaska communities. 对 COVID-19 在阿拉斯加西南部两个农村社区的影响进行定性探索。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-04-02 DOI: 10.1080/22423982.2024.2313823

Katie Cueva, Malory Peterson, Ay'aqulluk Jim Chaliak, Rebecca Ipiaqruk Young

{"title":"A qualitative exploration of the impacts of COVID-19 in two rural Southwestern Alaska communities.","authors":"Katie Cueva, Malory Peterson, Ay'aqulluk Jim Chaliak, Rebecca Ipiaqruk Young","doi":"10.1080/22423982.2024.2313823","DOIUrl":"10.1080/22423982.2024.2313823","url":null,"abstract":"This manuscript presents a qualitative exploration of the experiences of people in two Southwestern Alaska communities during the emergence of COVID-19 and subsequent pandemic response. The project used principles of community based participatory research and honoured Indigenous ways of knowing throughout the study design, data collection, analysis, and dissemination. Data was collected in 2022 through group and individual conversations with community members, exploring impacts of the COVID-19 pandemic. Participants included Elders, community health workers, Tribal council members, government employees, school personnel, and emergency response personnel. Notes and written responses were coded using thematic qualitative analysis. The most frequently identified themes were 1) feeling disconnected from family, friends, and other relationships, 2) death, 3) the Tribal councils did a good job, and 4) loss of celebrations and ceremonies. While the findings highlighted grief and a loss of social cohesion due to the pandemic, they also included indicators of resilience and thriving, such as appropriate and responsive local governance, revitalisation of traditional medicines, and coming together as a community to survive. This case study was conducted as part of an international collaboration to identify community-driven, evidence-based recommendations to inform pan-Arctic collaboration and decision making in public health during global emergencies.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2313823"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10989197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140335533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of telehealth for paediatric rehabilitation needs of Indigenous children - a scoping review. 利用远程保健满足土著儿童的儿科康复需求--范围界定审查。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-02-06 DOI: 10.1080/22423982.2024.2308944

Rosalie Dostie, Hailey Dunn, Wendie N Marks, Chantal Camden, Stacey Lovo

{"title":"Use of telehealth for paediatric rehabilitation needs of Indigenous children - a scoping review.","authors":"Rosalie Dostie, Hailey Dunn, Wendie N Marks, Chantal Camden, Stacey Lovo","doi":"10.1080/22423982.2024.2308944","DOIUrl":"10.1080/22423982.2024.2308944","url":null,"abstract":"Telerehabilitation is proposed as a promising avenue to enhance service accessibility for Indigenous communities, yet its application for Indigenous children remains relatively unexplored. This scoping review followed the PRISMA-ScR framework to explore current knowledge on the use of telerehabilitation for Indigenous children. Ten scholarly databases, seven grey literature databases, reference searches, and expert consultations were utilised to identify relevant studies. Included articles discussed the use of telerehabilitation provided by rehabilitation professionals (e.g. occupational therapist (OT), physical therapist (PT), speech and language pathologist (SLP) to Indigenous children and/or caregivers. Seven studies were included. Telerehabilitation was explored in different ways, the most common being real-time videoconferencing by SLPs. While some studies explicitly acknowledged cultural responsiveness within both the research process and the intervention, most were not designed for Indigenous children and their caregivers; rather, these participants were included with non-Indigenous participants. Successful implementation and sustainability of telerehabilitation services requires addressing technological limitations, understanding, and respecting diverse worldviews, and co-developing services to meet the unique needs of Indigenous families. Telerehabilitation has been rarely used with Indigenous children and when it was, little attention was given to cultural considerations. These findings emphasise that future telerehabilitation interventions should be truly community-led to ensure cultural relevance.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2308944"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10848996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139697346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing the prevalence of obesity in a Russian adult population by six indices and their associations with hypertension, diabetes mellitus and hypercholesterolaemia. 通过六项指数评估俄罗斯成年人群的肥胖率及其与高血压、糖尿病和高胆固醇血症的关系。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-08-06 DOI: 10.1080/22423982.2024.2386783

Kamila Kholmatova, Alexandra Krettek, Irina V Dvoryashina, Sofia Malyutina, Alexander V Kudryavtsev

{"title":"Assessing the prevalence of obesity in a Russian adult population by six indices and their associations with hypertension, diabetes mellitus and hypercholesterolaemia.","authors":"Kamila Kholmatova, Alexandra Krettek, Irina V Dvoryashina, Sofia Malyutina, Alexander V Kudryavtsev","doi":"10.1080/22423982.2024.2386783","DOIUrl":"10.1080/22423982.2024.2386783","url":null,"abstract":"The anthropometric index that best predicts cardiometabolic risk remains inconclusive. This study therefore assessed the prevalence of obesity using six indices and compared their associations with obesity-related cardiometabolic disorders. We determined obesity prevalence according to body mass index, waist circumference, waist-to-hip ratio, waist-to-height ratio (WHtR), body fat percentage and fat mass index (FMI) using data from the Know Your Heart study (n = 4495, 35-69 years). The areas under the receiver operating characteristic curves (AUCs) provided predictive values of each index for detecting the presence of hypertension, hypercholesterolaemia and diabetes. Age-standardised obesity prevalence significantly varied according to anthropometric index: from 17.2% (FMI) to 75.8% (WHtR) among men and from 23.6% (FMI) to 65.0% (WHtR) among women. WHtR had the strongest association with hypertension (AUC = 0.784; p < 0.001) and with a combination of disorders (AUC = 0.779; p < 0.001) in women. In women, WHtR also had the largest AUCs for hypercholesterolaemia, in men - for hypertension, diabetes and a combination of disorders, although not all the differences from other obesity indices were significant. WHtR exhibited the closest association between hypertension and a combination of disorders in women and was non-inferior compared to other indices in men.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2386783"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11305031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141897394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Communicating and complying with COVID-19 actions in northernmost Finland. 在芬兰最北部宣传和遵守 COVID-19 行动。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-02-13 DOI: 10.1080/22423982.2024.2313822

Ulla Timlin, Arja Rautio

{"title":"Communicating and complying with COVID-19 actions in northernmost Finland.","authors":"Ulla Timlin, Arja Rautio","doi":"10.1080/22423982.2024.2313822","DOIUrl":"10.1080/22423982.2024.2313822","url":null,"abstract":"In Finland, national and local restrictions were implemented to control the COVID-19 pandemic after the increase of cases, and it changed the everyday life of people. The purpose of our study was to explore public health communication and compliance related to the COVID-19 public health instructions, recommendations, and restrictions in two municipalities in Northernmost Finland, Inari and Utsjoki. We interviewed the representatives and operators working in the municipalities to understand and learn about their experiences. Results suggested that residents complied with different COVID-19 actions, and overall, communication was found to be good. Altogether, guidelines were easy to follow but required the individual's own activity. Guidelines were also published in Sámi language. National border restrictions were a challenging part of communication and information, and guidelines were found to be contradictory at times. National border actions required resources from the municipalities, e.g. testing, which caused more demands on municipalities operating with already low resources. In the future, it is essential to consider the local situation of the pandemic and harmonise actions and put effort on local cooperation. It is important to invest in clear communication, which reaches people of all ages, and in three Sámi languages.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2313822"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10868415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139729566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Young peoples' reflections about using a chatbot to promote their mental wellbeing in northern periphery areas - a qualitative study. 北部边缘地区年轻人使用聊天机器人促进心理健康的思考--定性研究。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-06-24 DOI: 10.1080/22423982.2024.2369349

Catrine Kostenius, Frida Lindstrom, Courtney Potts, Niklas Pekkari

{"title":"Young peoples' reflections about using a chatbot to promote their mental wellbeing in northern periphery areas - a qualitative study.","authors":"Catrine Kostenius, Frida Lindstrom, Courtney Potts, Niklas Pekkari","doi":"10.1080/22423982.2024.2369349","DOIUrl":"10.1080/22423982.2024.2369349","url":null,"abstract":"An international research collaboration with researchers from northern Sweden, Finland, Ireland, Northern Ireland, Scotland and developed the ChatPal chatbot to explore the possibility of a multilingual chatbot to promote mental wellbeing in people of all ages. In Sweden the end users were young people. The aim of the current study was to explore and discuss Swedish young peoples' experiences of using a chatbot designed to promote their mental wellbeing. Young people aged 15-19 filled out an open-ended survey giving feedback on the ChatPal chatbot and their suggestions on improvements. A total of 122 survey responses were analysed. The qualitative content analysis of the survey responses resulted in three themes each containing two to three sub-themes. Theme 1, feeling as if someone is there when needed, which highlighted positive aspects regarding availability and accessibility. Theme 2, human-robot interaction has its limitations, which included aspects such as unnatural and impersonal conversations and limited content availability. Theme 3, usability can be improved, given technical errors due to lack of internet connection and difficulty navigating the chatbot were brought up as issues. The findings are discussed, and potential implications are offered for those designing and developing digital mental health technologies for young people.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2369349"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11198148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Inuit population have shorter gastric emptying, higher duodenal motility and altered pan-enteric micromilieu: a comparative study between Greenlandic and Danish populations with and without type 2 diabetes. 因纽特人的胃排空时间更短、十二指肠蠕动性更强以及泛肠道微环境发生了改变：格陵兰岛人和丹麦人患有和未患有 2 型糖尿病的比较研究。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-08-16 DOI: 10.1080/22423982.2024.2392406

Mads Mose Jensen, Nadja Albertsen, Anne-Marie Wegeberg, Michael Lynge Pedersen, Stig Andersen, Christina Brock

{"title":"Inuit population have shorter gastric emptying, higher duodenal motility and altered pan-enteric micromilieu: a comparative study between Greenlandic and Danish populations with and without type 2 diabetes.","authors":"Mads Mose Jensen, Nadja Albertsen, Anne-Marie Wegeberg, Michael Lynge Pedersen, Stig Andersen, Christina Brock","doi":"10.1080/22423982.2024.2392406","DOIUrl":"10.1080/22423982.2024.2392406","url":null,"abstract":"Gastrointestinal function plays a pivotal role in nutrient absorption and overall digestive health. Abnormal gastric emptying is closely linked to type 2 diabetes, impacting blood glucose regulation and causing gastrointestinal symptoms. This study aims to investigate and compare segmental transit times, motility indices, and micromilieu between Greenlandic Inuit and Danish individuals with and without type 2 diabetes. We included forty-four Greenlandic Inuit, twenty-three of whom had type 2 diabetes, and age and gender-matched Danish individuals. Segmental transit time, motility, and luminal environment were measured using the SmartPill®. Greenlandic controls displayed shorter gastric emptying time (GET) (163 min), higher gastric median pH (2.0 pH) and duodenal median contractions (18.2 mm Hg) compared to Greenlanders with type 2 diabetes (GET: 235 min, pH:1.9, median duodenal contraction 18.4 mm Hg) and Danish controls (GET: 190, pH:1.2 median duodenal contraction 17.5 mmHg). Despite similar anti-diabetic management efforts, variations in gastrointestinal physiology were evident, highlighting the complexity of diabetes and its interaction with ethnicity, suggesting potential dietary or even genetic influences, emphasising the necessity for personalised diabetes management approaches. Finally, the study opens possibilities for future research, encouraging investigations into the underlying mechanisms linking genetics, diet, and gastric physiology, as an understanding of factors can lead to more effective, tailored strategies for diabetes care and improved digestive health in diverse populations.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2392406"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11332289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141992295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Stakeholders' perceptions of value of nature-based interventions in promoting health in people with stress-related illness: a qualitative study. 利益相关者对基于自然的干预措施在促进压力相关疾病患者健康方面价值的看法：一项定性研究。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-05-10 DOI: 10.1080/22423982.2024.2349330

Gunilla Johansson, Jeaneth Johansson, Åsa Engström, Päivi Juuso

{"title":"Stakeholders' perceptions of value of nature-based interventions in promoting health in people with stress-related illness: a qualitative study.","authors":"Gunilla Johansson, Jeaneth Johansson, Åsa Engström, Päivi Juuso","doi":"10.1080/22423982.2024.2349330","DOIUrl":"10.1080/22423982.2024.2349330","url":null,"abstract":"Stress-related illness is a common and increasing cause for sick leave in Sweden. Spending time in nature reduces stress and promotes health and well-being. Accordingly, nature-based interventions (NBI) for people with stress-related illness have been developed and implemented in southern Scandinavia; however, such interventions are uncommon in the Circumpolar North. Previous studies have examined the effects and experiences of participating in NBI, but research about different stakeholders' perspectives on NBI is lacking. The aim of this study was to explore different key stakeholders' perceptions of the value of NBI in promoting health in people with stress-related illness. Data were collected through semi-structured interviews with 11 persons with stress-related illness experience, 14 healthcare professionals, and 11 entrepreneurs offering NBI. Qualitative content analysis resulted in four categories: Providing opportunity for recovery, Offering new perspectives and opportunity for reflection, Empowering balance and control in life, and Enabling one to overcome barriers. Although the study was conducted in a region where NBI is not widely implemented, the different stakeholders expressed similar perceptions of the value of NBI, indicating that NBI may be a valuable complement to health care which reaches people with stress-related illness needs and promotes their health.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2349330"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11089910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140896077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cervical cancer screening preference among Inuit women in Nunavik, Quebec. 魁北克努纳维克因纽特人妇女的宫颈癌筛查偏好。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-11-17 DOI: 10.1080/22423982.2024.2429860

Gabrielle Gosselin, Patricia Blais, Noémie Smith, Paul Brassard

{"title":"Cervical cancer screening preference among Inuit women in Nunavik, Quebec.","authors":"Gabrielle Gosselin, Patricia Blais, Noémie Smith, Paul Brassard","doi":"10.1080/22423982.2024.2429860","DOIUrl":"10.1080/22423982.2024.2429860","url":null,"abstract":"Self-sampling for oncogenic human papillomavirus (HPV) offers an alternative to the Papanicolaou (Pap) test for cervical cancer screening. We aimed to assess Inuit women's cervical cancer screening preferences. Eligible Inuit women aged between 25 and 65 in 2022-2023 were given the choice between self-sampling, sampling performed solely by the nurse or the Pap test and were administered a questionnaire on screening preference. Thematic analysis was performed on qualitative data collected through a questionnaire asking if and why women prefer HPV self-sampling or the Pap test for cervical cancer screening. A total of 103 women agreed to participate. Of these, 12 (11.6%) chose to have the nurse perform the HPV test rather than self-collect. Among the 91 left for analysis, 80.2% (73) of women who self-sampled preferred self-sampling to the Pap test and 82.4% (75) would prefer self-sampling in the future. The most common reason given was comfortability (54.9%) and privacy (25.2%). Participants that did not prefer self-sampling (n = 7) expressed desire for a physical exam by the nurse or a lack of confidence in their ability to collect the sample. Eleven either did not indicate a preference, were unsure, or indifferent to cervical cancer screening method. This represents an improvement from a previously conducted study in 2012 among the same population who reported a preference for HPV self-sampling of 56%.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2429860"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"My feelings and my thoughts are my lived experience, not the numbers they show me on a piece of paper": Indigenous experiences of liver transplantation in British Columbia, Canada. "我的感受和想法就是我的生活经历，而不是他们在纸上给我看的数字"：加拿大不列颠哥伦比亚省原住民的肝移植经历。

IF 1.3 4区医学

International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-05-28 DOI: 10.1080/22423982.2024.2359747

Chenoa Cassidy-Matthews, Margo Pearce, Trana Hussaini, Patricia Spittal, Nadine Caron, Cole Daley, Ruth Alfred, Eric M Yoshida

{"title":"\"My feelings and my thoughts are my lived experience, not the numbers they show me on a piece of paper\": Indigenous experiences of liver transplantation in British Columbia, Canada.","authors":"Chenoa Cassidy-Matthews, Margo Pearce, Trana Hussaini, Patricia Spittal, Nadine Caron, Cole Daley, Ruth Alfred, Eric M Yoshida","doi":"10.1080/22423982.2024.2359747","DOIUrl":"10.1080/22423982.2024.2359747","url":null,"abstract":"Indigenous Peoples in Canada face healthcare inequities impacting access to solid organ transplantation. The experiences of Indigenous patients during the liver transplant process, and how transplant professionals perceive challenges faced by Indigenous Peoples, has not been studied. Thirteen semi-structured qualitative interviews were conducted via telehealth with Indigenous liver transplant patients (n = 7) and transplant care providers (n = 6) across British Columbia, Canada between April 2021-May 2022. Themes were identified to inform clinical approaches and transplant care planning and validated by Indigenous health experts. Among patient participants: transplants occurred between 1992-2020; all were women; and the mean age at the time of interview was 60 years. Among transplant care provider participants: roles included nursing, social work, and surgery; 83% were women; and the median number of years in transplant care was ten. Three broad themes were identified: Indigenous strengths and resources, systemic and structural barriers, and inconsistent care and cultural safety across health professions impact Indigenous patient care during liver transplantation. This study contributes insights into systemic barriers and Indigenous resilience in the liver transplant journey. Dismantling structural barriers to early linkage to care is needed, and training for transplant clinicians on Indigenous histories, cultural protocols, and cultural safety is strongly recommended.","PeriodicalId":13930,"journal":{"name":"International Journal of Circumpolar Health","volume":"83 1","pages":"2359747"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11136460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0